Consultant – The Global Fund MSA Program – Save the Children International, Kathmandu, Nepal
Consultancy – to evaluate access to, availability and satisfaction of KPs (MSM and TGs) with HIV prevention, testing and other services provided by MSA grant in Nepal, Bangladesh and Afghanistan.
Save the Children is the leading independent organization for children.
Save the Children envisions a world where children and families can live free of HIV infection and in which families that are affected by HIV and AIDS can live positively and productively without stigma and discrimination. Drawing on our global experience, Save the Children supports hundreds of thousands of children and young people at risk for, and affected by, HIV. Save the Children takes on a comprehensive approach in addressing HIV and AIDS, focusing on orphans and other vulnerable children; young people most at risk in the epidemic; and efforts to combat Pediatric AIDS including mother-to-child transmission prevention programs.
Dimensions: Save the Children Nepal is the Principal Recipient for the Global Fund MSA grant implementing it’s 6th and final year of the project. Save the Children is providing support to and strengthening community-based organizations (CBOs) and systems in multiple countries in South Asia, to address the impact of, and vulnerability to HIV of men who have sex with men (MSM) and transgender populations in the region.
The Multi-Country South Asia (MSA) Global Fund HIV Programme
Save the Children Nepal is the Principal Recipient for the MSA grant implementing its 6th and final year of the project. Save the Children is providing support to and strengthening community-based organizations (CBOs) and systems in multiple countries in South Asia, to address the impact of, and vulnerability to HIV of men who have sex with men (MSM) and transgender populations in the region.
The MSA Programme supports the development and strengthening of community-based organizations (CBOs) and systems in multiple countries in South Asia, to address the impact of, and vulnerability to HIV of MSM and TG populations in the region. The overall goal of the Programme is to reduce the impact of HIV on those populations, by improving the provision of comprehensive HIV prevention, care and support services to them.
The main focus of this Programme is Community Systems Strengthening, and specifically, it will support and build the capacity of in-country organizations to deliver high quality services, engage in policy development and advocacy initiatives, and take part in research on HIV-related issues affecting MSM and transgender people. The following strategies are applied to meet the objectives of the programme:
- Strengthening of CBO and their institutional development.
- Behavior change communication â€” community outreach.
- HIV testing and counselling.
- Sexually transmitted infection diagnosis and treatment.
- Development and dissemination of strategic information, including biological, behavioral, and psycho-social research
- Program operations research
Rationale for the Assessment:
MSM and TG population are two key population groups that benefit from the MSA project activities. MSA Project strategies tailored and implemented to compliment national HIV programs to ensure that HIV response in SA is comprehensive and impact oriented. Countries selected for the assessment well represent regional context and diverse project implementation arrangements so assessment findings could be used for better programming in other SA countries with similar implementation arrangements and political environment for the implementation. Assessment results will also help Regional Steering Committee of the MSA (RSC) to understand the link between MSA efforts for the last 5 years and favorable changes in project implementation countries (e.g. building enabling legal environment for access of KPs to basic health services, introduction of new and follow up expansion of service that otherwise would not be available for KPs).
The assessment has been planned/scheduled by the Regional Steering Committee of the MSA (Governing body of the MSA). The recommendations derived from this study will serve as a planning tool for MSA GFATM grant programs and serve as a tool for the improvement of country specific strategies in respective countries by navigating donor community and CCMs for better HIV program planning among these KPs in respective countries.
Objectives of the study:
Save the Children is planning to conduct an operational research in three project implementation countries (Nepal, Bangladesh and Afghanistan) with the aim:
- To review the current legal framework and identify legal barriers for the HIV service provision and:
- cultural, socio-political, legal, and economic contexts that affect program implementation in selected 3 countries;
- current progress of advocacy efforts to address stigma and discrimination, including input and achievement of MSA SRs
2. To collect information on the scale and quality of existing HIV services provided for key target groups of the MSA project (MSM and Transgender population)
- Review of existing service delivery system for HIV prevention in accordance with existing protocols and standards vs international standards for service provision, and provide gaps analysis
- Assessment of access to and the quality of HIV prevention services with the focus on outreach interventions, syndromic treatment of STIs, and condoms distribution. (Please refer to Annex 1 for list MSA indicators).
- Analysis and relevance of menu of HIV prevention services provided through the DICs (Drop in centres) including friendly STI treatment services and outreach interventions for KPs (MSM and TGs).
- Management of Services – HIV linkage to care, ARV adherence and retention in care.
- Capacity building – training and sensitizing health-care providers to the sexual health needs of gay men and other men who have sex with men.
3. To conduct client’s needs and satisfaction survey
4. To identify capacity-building gaps and recommendations for potential scale-up and/or improvement of the program in respective countries.
Key areas of accountability:
- Review of the current normative and legislative documents, programs and projects related reports to understand political environment for program implementation in each country.
- Prepare a work plan, list of proposed meetings, a study methodology and a study protocol: Determination of the design, methodology and tools to work on the study. These documents should be submitted to SC for input and required follow up in organizing meetings in research participating countries.
- Meet with national stakeholders, international organizations and NGO representatives in each research participating country.
- Provide required guidance for 03 national consultants on agreed with SC methodology, tools and timelines for the research.
- Provide analytical advice to national consultants throughout the study (planning stage, data collection, data analyses)
- Prepare necessary tools and instrument (docs, questionnaire, form, focus groups docs) for field work
- Conduct assessment with national consultants. Participate in carrying out of the field phase of the study (questionnaire, meetings, consultations, focus groups)
- Analyze results, findings and develop recommendations jointly with national consultants and partners.
- Prepare a draft report based on field data and desk-review assessment;
- Share/present preliminary results of the study to SC project team and national stakeholders and ensure that draft report is discussed
- Finalize and present the final research report with recommendations based on the comments of SC and partners
Specific experience and personal qualities
- 5 years of relevant experience in developing research methodologies and experience in conducting operations research among KP groups is required.
- In depth knowledge of epidemiological methods and bio-statistical instruments, including strong command of statistical software
- Significant experience in conducting similar evaluations and studies is desired
- Experience in compiling comprehensive reports and recommendations
- Experience of working in South Asia countries is an advantage
- Strong analytical skills
- Excellent verbal and written communications skills (English).
- Excellent interpersonal and team building skills
- Demonstrated effective interpersonal skills, ability to work well in a team
- Excellent management and coordination skills.
- High level of integrity, maturity and confidentiality is required.
The following documents must be enclosed with the proposal-
1) Technical proposal- a concise and comprehensive document including the proposed assessment methodology, a sampling strategy that ensures the adequate data collection to meet the assessment objectives within the given budget and timeline, a work plan and the data analyses plan in details.
2) Lump-sum financial proposal (including consultancy fees and administrative costs such as travels) inclusive of 15% tax as per Nepal tax rules.
3) Up-to-date CV (including full date of birth in dd/mm/yyyy format)
Closing date for this advert is on 21 July 2017